Stroke Dysphagia Referral to Speech-Language Pathology, Advance Directive
Autonomy, Pitting Edema Documentation, Fall-Risk Environmental Safety, Client
Motivation for Learning, Home Safety Adaptation Strategies,
Nonpharmacological Pain Management, Terminal Illness Therapeutic
Communication, Anaphylactic Hypotension Recognition, Intravenous Pyelogram
Preparation, Ophthalmic Assessment Findings, Postoperative Pressure Injury
Prevention, Medication Administration Safety Checks, Injection-Site Reaction
Monitoring, Therapeutic Nurse Empathy, Seizure Emergency Response Protocol,
Postural Drainage Positioning Techniques, Abdominal Pain Auscultation
Assessment, Packed Red Blood Cell Compatibility Verification, Nursing Tort
Liability and Assault, Suicide Risk Assessment Communication Exam Questions
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Tracheostomy ties
Use a quick-release knot to secure the ties.
Stroke client referral
Request a referral to a Speech-language pathologist.
Advance directives understanding
"I know that I can change my advance directives if I need to in the future."
,Edema documentation
Document as 3+ pitting edema.
Fall risk client safety
Provide the client with a night light.
Motivation to learn
The client's belief that his needs will be met through education.
Home safety understanding
"I will use the grab bars when getting in and out of the bathtub."
Nonpharmacological intervention for pain
Loosen the client's bed linens.
Terminal illness response
I will contact your provider to discuss your options.
Anaphylactic reaction indication
A sharp decrease in blood pressure.
,Intravenous pyelogram preparation
Assist the client with a bowel cleansing.
Eye assessment finding
Eyelashes that curl slightly outward.
Postoperative pressure injury prevention
Ensure the client's heels are not touching the mattress.
Medication administration
Administer 240 mL (8 oz) of oral contrast before the procedure.
Injection site reaction
Pain at the injection site.
Client education
The nurse's empathy about the client having to self-inject.
, Reposition the client
Reposition the client every 4 hr.
Dysphagia intervention
The client drinks their thickened juice with a straw.
Seizure first action
Help the client lie on the floor.
Postural drainage position
Right lateral in Trendelenburg position.
Tracheostomy ties action
Allow space for three fingers under the ties when securing.
Referral for swallowing issues
Speech-language pathologist.
Assessing abdominal pain